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NPI Code Detail

MEDICARE: EAST ALLEGHENY SCHOOL DISTRICT

MEDICARE: EAST ALLEGHENY SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063571735
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST ALLEGHENY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1150 JACKS RUN ROAD
Second Line :
City : NORTH VERSAILLES
State : PA
Zip : 15137-2726
Country : US
Telephone Number : 412-824-8012
Fax Number : 412-824-1062
Provider Business Practice Location Address
First Line : 1150 JACKS RUN ROAD
Second Line :
City : NORTH VERSAILLES
State : PA
Zip : 15137-2726
Country : US
Telephone Number : 412-824-8012
Fax Number : 412-824-1062
Authorized Official
Title or Position : DIRECTOR OF FISCAL AFFAIRS
Name : MS. TONI VALICENTI
Credential :
Telephone Number : 412-824-8012
Provider Enumeration Date : 12/08/2006
Last Update Date : 05/11/2016

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Directions to “EAST ALLEGHENY SCHOOL DISTRICT ” Practice Location

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